#cccsky
Likewise, low blood pressure is a reliable sign of shock and malperfusion in sepsis/distributive shock, but not in other, especially cardiogenic shock. #emimcc #cccsky
normal mentation *doesn't* indicate adequate systemic perfusion

especially in cardiogenic shock, people can mentate well despite terrible CO & systemic perfusion

poor mentation is sometimes an early sign of *septic* shock, but often a very late indicator of other shock states #EMIMCC
Sad Sad Bean GIF
ALT: Sad Sad Bean GIF
media.tenor.com
October 10, 2025 at 5:23 PM Everybody can reply
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October 3, 2025 at 6:23 PM Everybody can reply
Kudos to the authors! I apologize for taking the liberty of using the paper's data to create this graph👆

Critical Care Medicine : 10.1097 / CCM.0000000000006844, August 25, 2025
DOI: 10.1097/CCM.0000000000006844

#foamed #foamcc #meded #Medsky #emimcc #cccsky
October 2, 2025 at 2:34 PM Everybody can reply
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poor transpulmonary blood flow as well as due to hypoxemia & acidosis

#foamed #foamcc #meded #Medsky #emimcc #cccsky #hemodynamics
October 1, 2025 at 1:06 AM Everybody can reply
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Friendly reminder:

The decision to administer iv fluids is more complex than whether the patient is fluid-responsive or not. Fluid-intolerance and tissue perfusion entered the chat...

#foamed #foamcc #meded #Medsky #emimcc #cccsky #hemodynamics
September 30, 2025 at 2:38 PM Everybody can reply
3 reposts 10 likes
Sometimes first principles thinking & simple interventions can make a big difference in #hemodynamics management

#foamed #foamcc #meded #Medsky #cccsky #emimcc
September 20, 2025 at 7:09 PM Everybody can reply
1 reposts 12 likes
September 14, 2025 at 4:50 PM Everybody can reply
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September 14, 2025 at 11:04 AM Everybody can reply
September 12, 2025 at 6:34 PM Everybody can reply
September 12, 2025 at 1:32 PM Everybody can reply
Grateful for the fun and exciting opportunity to present physio-guided #cpr at #Cardiovascular #Medicine Grand Rounds @umich.edu! Always a privilege to share, learn, and grow alongside such an incredible community. 💛💙🫀 #Cardiology #MedEd #GrandRounds #CardioSky #cccsky

youtu.be/4-je1u1H4I8?...
CPR Without Guesswork: Is the Future Resuscitation by Real-Time Physiology?
YouTube video by Michigan Medicine
youtu.be
September 12, 2025 at 12:29 PM Everybody can reply
1 reposts
Kudos to the authors!

#foamed #foamcc #meded #Medsky #cccsky #emimcc

PS: I have no conflict of interest. In fact, I have missed all the Abiomed(Impella)-organized dinners...
September 10, 2025 at 3:07 PM Everybody can reply
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September 10, 2025 at 2:53 PM Everybody can reply
September 10, 2025 at 2:51 PM Everybody can reply
September 9, 2025 at 9:36 PM Everybody can reply
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Protocol of selection and escalation of temporary mechanical circulatory support (PMID: 38115065)

#foamed #foamcc #meded #medsky #emimcc #cccsky
September 7, 2025 at 3:21 PM Everybody can reply
1 quotes 2 likes
ICU #Hemodynamics:

When Albert Einstein was asked about the optimal approach to hemodynamics analysis/management in Critical Care, he said:

“Everything should be made as simple as possible, but not simpler”

#foamcc #foamed #meded #Medsky #emimcc #cccsky #Medstudent
September 6, 2025 at 11:37 AM Everybody can reply
2 reposts 10 likes
Finally some good evidence for whether DOACs can be effective in treatment of left ventricular thrombus. Is this generalisable to all DOACs? #cardiosky #cccsky www.jacc.org/doi/10.1016/...
Rivaroxaban vs Warfarin in Acute Left Ventricular Thrombus Following Myocardial Infarction: RIVAWAR, An Open-Label RCT
www.jacc.org
September 5, 2025 at 6:42 PM Everybody can reply
3 reposts 7 likes
September 4, 2025 at 4:04 PM Everybody can reply
Kudos to the researchers!
PMIDs: 27312050 and 29496502

#foamed #foamcc #meded #Medsky #cccsky #emimcc
August 28, 2025 at 8:23 PM Everybody can reply
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August 26, 2025 at 6:29 PM Everybody can reply
Of course, I may be wrong and there is a better way to practice...

Thanks for following!

#foamed #foamcc #meded #medsky #cccsky #emimcc
August 24, 2025 at 2:56 PM Everybody can reply
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*The second scenario is very common in patients with hyperinflated lungs/COPD

#foamed #foamcc #meded #Medsky #emimcc #cccsky
August 21, 2025 at 5:30 PM Everybody can reply
4 likes